Acute VSD, acute septal rupture
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Consider inserting an intra aortic balloon pump (IABP) to reduce afterload pressure #improve

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Oct 21, 2011
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Maintain high normal preload and right ventricular pressures to minimise left to right flow through the VSD.

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Aims are to stabilise the patient by optimising physiological parameters that encourage systemic flow from the left ventricle (as opposed to through the septal defect into the right heart), and prepare the patient for surgical or intraluminal intervention.

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Dec 17, 2011
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Dobutamine may be helpful by providing both inotropy and reducing afterload #ref #improve

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Acute VSD following septal infarct on TOE refl.in/d5

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Mar 12, 2012
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Pulmonary artery catheter is relatively contraindicated as it may pass through the defect #ref

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Oct 02, 2011
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Urgent surgical patch repair will be indicated in unstable patients. Prepare theater for surgery or transfer patient to appropriate cardiothoracic center.

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Aug 15, 2011
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